# JUYEON SHIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093171696
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 95019985 | CA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024173071 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AC001754 | MD | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | NP95019985 | CA | — |

## Other

- **Enumeration date:** 01/12/2016
- **Last updated:** 12/17/2024